| NPI | 1508081480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ZBIGNIEW PAWELEK Owner 585-225-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045314) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 0458861) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |